Tana Renee Kevak, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

46966 Issued in WV

Practice address

921 Mineral Rd Ste 101
Glenville, WV 26351

Phone

(304) 354-9244

Fax

(304) 354-5963

NPI assigned

Aug 3, 2011

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tana Renee Haught Former name

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ritchie County Primary Care Assoc IncGroup PAC ID 0244142453, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James R. Toothman DO PLLC

  • Internal Medicine Physician
  • Gallipolis, OH
  • NPI 1528627957
  Medicare reassignment NPD
• Pai Participant 5 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Coventry, RI
  • NPI 1194381947

  WV

  Medicare reassignment NPD
• Ritchie County Primary Care Assoc., Inc.

  dba Integrated Health Centers of West Virginia

  • Federally Qualified Health Center (FQHC)
  • Harrisville, WV
  • NPI 1265404230
  Care Compare group NPD
• Minnie Hamilton Health Care Center, Inc.

  dba Ambulance - Medicaid

  • Ambulance
  • Grantsville, WV
  • NPI 1508974254
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1578841896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 MINERAL RD STE 101",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511342",
            "telephone_number": "304-462-7322",
            "fax_number": "304-462-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 MINERAL RD STE 101",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "26351",
            "telephone_number": "304-354-9244",
            "fax_number": "304-354-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVAK",
        "first_name": "TANA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "46966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "HAUGHT",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Marie Jones, SLP
• Mary Jones
• Kimberly Junkins
• Ava Kennedy
• Jesse Michael Kennedy
• Kathleen Kimble
• Robin King
• Todd A. Lares, MD
• Jeanette Ellen Leal, LAT, ATC
• Heidi Lynn Lindsay

• Nurse Practitioner in Glenville, WV
• Providers in Glenville, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.